| Regimental number | 58397 |
| Place of birth | Perth Western Australia |
| Religion | Church of England |
| Occupation | Motor driver and mechanic |
| Address | Roma, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs M Smith, 52 Hunter Street, Horseshoe Bend, West Maitland, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 7 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
